<div class="row">
    <div class="col-xs-12">
        <div class="panel panel-midnightblue">
            <div class="panel-body">
                <form action="" class="form-horizontal row-fluid"  data-validate="parsley" id="validate-form">
                	<div class="row">
                		 <div class="form-group">
                    		<label class="col-sm-3 control-label" >姓名:</label>
                    		<div class="col-sm-8">
                    			<input type="text"  disabled class="form-control" value="{$member.name}"/>
                    		</div>
                   		 </div>
                	</div>
                	<div class="row">
                		 <div class="form-group">
                    		<label class="col-sm-3 control-label" >手机:</label>
                    		<div class="col-sm-8">
                    			<input type="text"  disabled class="form-control" value="{$member.mobile}"/>
                    		</div>
                   		 </div>
                	</div>
                	<div class="row">
                		<div class="form-group">
	                		<label class="col-sm-3 control-label"  >卡种:</label>
	                		<div class="col-sm-8">
			                    <select class="form-control"disabled  style="width: 100%;">
			                      <option value="0">{$order.gym_card_name}</option>
								</select>
							</div>
						</div>	
                	</div>
					
					<div class="row">
                		 <div class="form-group">
                    		<label class="col-sm-3 control-label" >卡号:</label>
                    		<div class="col-sm-8">
                    			<input type="text"   class="form-control"  value="{$order.card_no}"  readonly/>
                    		</div>
                   		 </div>
                	</div>

                	<div class="row">
                		 <div class="form-group">
                    		<label class="col-sm-3 control-label" >转入会员:</label>
                    		<div class="col-sm-8">
                    			<select id="select2-single" name="gym_member_id" required class="form-control"  style="width: 100%;">
								</select>
                    		</div>
                   		 </div>
                	</div>
                	
					
					<div class="row">
                		 <div class="form-group">
                    		<label class="col-sm-3 control-label" >合同收费:</label>
                    		<div class="col-sm-8">
                    			<input type="text" name="pay_money"  data-type="money" required  value="0"  class="form-control"  />
                    		</div>
                   		 </div>
                	</div>
                	
                	<div class="row">
                		 <div class="form-group">
                    		<label class="col-sm-3 control-label" >支付方式:</label>
                    		<div class="col-sm-8">
                    			<?php  $pay_types=config('pay_type'); ?>
                    			<select  name="pay_type"  class="form-control" >
                    				{foreach name="pay_types" item="v" }
                    					<option value="{$v}" >{$v}</option>
                    				{/foreach}
                    			</select>	
                    		</div>
                   		 </div>
                	</div>
                	
                	<div class="row">
                		 <div class="form-group">
                    		<label class="col-sm-3 control-label"  >签约时间:</label>
                    		<div class="col-sm-8">
                    			<input type="text" name="order_date"   value="<?php echo date('Y-m-d') ?>"    class="form-control datepicker"  />
                    		</div>
                   		 </div>
                	</div>
                	
                	<div class="row">
                		<!-- parsley.min.js -->
                		 <div class="form-group">
                    		<label class="col-sm-3 control-label" >描述:</label>
                    		<div class="col-sm-8">
                    			<textarea  placeholder="描述" rows="3"   class="form-control" name="descs" id="descs"></textarea>
                    		</div>
                   		 </div>
                	</div>
                	<input type="hidden" id="order_id" name="order_id" value="{$order.id}" />
                	<input type="hidden" id="old_gym_member_id" value="{$order.gym_member_id}" />
                    </form>
                </div>
                
                <div class="panel-footer">
	                <div class="row">
	                    <div class="col-sm-6 col-sm-offset-3">
	                        <div class="btn-toolbar">
	                            <div class="row">
			                		 <div class="form-group">
			                    		<div class="col-sm-3">
			                    			 <div class="btn-primary btn" id="form-submit">提交</div>
			                    		</div>
			                    		<div class="col-sm-3">
			                    			 <div class="btn-default btn" data-dismiss="modal">关闭</div>
			                    		</div>
			                   		 </div>
	                			</div>
	                        </div>
	                    </div>
	                </div>
            	</div>
                
            </div>
        </div>
    </div>
</div>
<script type='text/javascript' src='{$Think.GYM_VIEW_JS}gym_member/member_trans.js'></script>